PASSENGER SHIP SAFETY CERTIFICATE
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This Certificate shall be supplemented by a Record of Equipment for
Passenger Ship Safety (Form P)
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(Official seal)
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(State)
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for an/a short footnote
international voyage
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Issued under the provisions of the INTERNATIONAL
CONVENTION FOR THE SAFETY OF LIFE AT SEA, 1974, as
amended
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under the authority of the Government of
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_______________________________
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(name of the State)
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by _______________________________
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(person or organization authorized)
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Particulars of ship
footnote
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Name of ship
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Distinctive
number or letters
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Port of
registry
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Gross
tonnage
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Sea areas in
which ship is certified to operate (regulation
IV/2) ...............................................
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IMO
Numberfootnote....................................................................................
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Date of build:
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Date of building contract
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Date on
which keel was laid or ship was at similar stage of construction
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Date of
delivery
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Date on
which work for a conversion or an alteration or modification of a major
character was commenced (where applicable)
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All applicable dates shall be completed.
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THIS IS TO CERTIFY
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1 That the
ship has been surveyed in accordance with the requirements of regulation
I/7 of the Convention.
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2 That the
survey showed that:
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2.1 the
ship complied with the requirements of the Convention as regards:
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.1 the structure, main and auxiliary machinery,
boilers and other pressure vessels;
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.2 the watertight subdivision arrangements and
details;
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.3 the following subdivision load lines:
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Subdivision load lines assigned and marked on the ship's
side amidships (regulation II-1/18)footnote
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Freeboard
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To apply when the spaces
in which passengers are carried include the following alternative
spaces
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P1
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........
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.......................................................
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P2
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........
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.......................................................
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P3
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........
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.......................................................
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2.2 the ship complied with part G of chapter II-1 of the
Convention using ……… as fuel/N.A.footnote
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2.3 the ship complied with the requirements of the
Convention as regards structural fire protection, fire safety systems and
appliances and fire control plans;
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2.4 the life-saving appliances and the equipment of the
lifeboats, liferafts and rescue boats were provided in accordance with the
requirements of the Convention;
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2.5 the ship was provided with a line-throwing appliance
and radio installations used in life-saving appliances in accordance with the
requirements of the Convention;
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2.6 the ship complied with the requirements of the
Convention as regards radio installations;
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2.7 the functioning of the radio installations used in
life-saving appliances complied with the requirements of the
Convention;
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2.8 the ship complied with the requirements of the
Convention as regards shipborne navigational equipment, means of embarkation
for pilots and nautical publications;
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2.9 the ship was provided with lights, shapes, means of
making sound signals and distress signals in accordance with the requirements
of the Convention and the International Regulations for Preventing Collisions at Sea in force;
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2.10 in all other respects the ship complied with the
relevant requirements of the Convention;
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2.11 the ship was/was notfootnote subjected to an alternative design and arrangements in
pursuance of regulation(s) II-1/55
/ II-2/17 / III/38
footnote of the Convention;
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2.12 a Document of approval of alternative design and
arrangements for machinery and electrical installations/fire
protection/life-saving appliances and arrangementsfootnote is/is notfootnote appended to this Certificate.
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3 That an
Exemption Certificate has/has notfootnote been issued.
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This certificate is valid until
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Completion date of the survey on which this certificate
is based:
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..................................(dd/mm/yyyy)
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Issued at
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(Place of issue of certificate)
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.......................................
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......................................................................
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(Date of Issue)
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(Signature of authorized official issuing the certificate)
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(Seal or stamp of the issuing authority, as appropriate)
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